Using the 11-item version of the RCADS to identify anxiety and depressive disorders in adolescents

Radez, Jerica, Waite, Polly, Chorpita, Bruce, Creswell, Cathy, Orchard, Faith, Percy, Ray, Spence, Susan H and Reardon, Tessa (2021) Using the 11-item version of the RCADS to identify anxiety and depressive disorders in adolescents. Research on Child and Adolescent Psychopathology. ISSN 2730-7166

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[img] PDF (Electronic Supplementary Material 1: Rank-ordered item-total correlations and item-discrimination indices for the RCADS-P items) - Supplemental Material
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[img] PDF (Electronic Supplementary Material 2: ROC analyses for alternative combinations of adolescent-report anxiety items (≤12 items) and depression items (≤9 items) compared to original RCADS and RCADS-25.) - Supplemental Material
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[img] PDF (Electronic Supplementary Material 3: Examining the functioning of items assessing risk of suicide/self-harm and symptom impact and duration.) - Supplemental Material
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[img] PDF (Electronic Supplementary Material 4: McDonald's omega coefficients with 95% confidence intervals for 11 RCADS items/original RCADS and RCADS-25 anxiety/depression subscales and total scales – adolescent-report and parent-report.) - Supplemental Material
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[img] PDF (Electronic Supplementary Material 5: Convergent and divergent validity coefficients for RCADS 11 items/original RCADS-47/RCADS-25.) - Supplemental Material
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[img] PDF (Electronic Supplementary Material 6: ROC curve analyses for the 11-item RCADS-P (current study), the original RCADS-P, and the RCADS-25-P.) - Supplemental Material
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[img] PDF (Electronic Supplementary Material 7: Anxiety and depression screening items with instructions) - Supplemental Material
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Abstract

The purpose of this study was to identify items from the Revised Children’s Anxiety and Depression Scale – RCADS-C/P that provided a brief, reliable and valid screen for anxiety and/or depressive disorders in adolescents. In addition, we examined whether adding items assessing suicidal ideation (Moods and Feelings Questionnaire – MFQ- C/P) and symptom impact and duration (items adapted from the Strengths and Difficulties Questionnaire – SDQ) improved the identification of adolescents with anxiety and/or depressive disorders. We compared two samples of adolescents and their parents – a community sample, recruited through secondary schools in England (n = 214) and a clinic-referred sample, who met diagnostic criteria for anxiety and/or depressive disorder and were recruited through a university-based research clinic (n = 246). Participants completed the RCADS-C/P with additional symptom impact and duration items, and the MFQ-C/P. Using ROC curve analyses, we identified a set of 11 RCADS-C/P items (6 addressing anxiety and 5 depression symptoms) for adolescent- and parent-report. This set of 11 symptom items achieved sensitivity/specificity values > .75, which were comparable to corresponding values for the RCADS-47-C/P. Combining adolescent and parent-report improved the identification of anxiety/depression in adolescents compared to using adolescent-report alone. Finally, adding two symptom impact items further improved the sensitivity/specificity of the 11 symptom items, whereas adding suicidal ideation items did not. The 11 RCADS items accurately discriminated between the community and clinic-referred sample with anxiety and/or depressive disorders and have the potential to quickly and accurately identify adolescents with these disorders in community settings.

Item Type: Article
Keywords: Adolescents, Anxiety, Depression, Questionnaire development, Screening
Schools and Departments: School of Psychology > Psychology
SWORD Depositor: Mx Elements Account
Depositing User: Mx Elements Account
Date Deposited: 15 Apr 2021 15:02
Last Modified: 15 Apr 2021 15:02
URI: http://sro.sussex.ac.uk/id/eprint/98464

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